Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $341.63 / $341.63 / $341.63	Facility		$341.63	$341.63	$341.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $341.63 / $524.65 / $1,951.56	Professional		$341.63	$524.65	$1,951.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $386.84 / $386.84 / $386.84	Facility		$386.84	$386.84	$386.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.39 / $386.83 / $386.84	Professional		$282.39	$386.83	$386.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $557.36 / $696.71 / $1,045.06	Professional		$557.36	$696.71	$1,045.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $199.39 / $199.39 / $523.57	Facility		$199.39	$199.39	$523.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $282.39 / $386.84 / $792.65	Professional		$282.39	$386.84	$792.65
United Facility/Professional Professional Modifier Low / Median / High Price $280.43 / $308.85 / $465.24	Professional		$280.43	$308.85	$465.24